ooo 2.

s
World Trade Center Disaster Response
New York City Department of Health
Day 4: 9/14/01 (Friday)
8am-8pm Summary
COMMAND CENTER AND OEM OPERATIONS
OEM moved to Pier 96 today
New OEM number: 646-756-3063/3064; Fax 212-259-9820
DOH staff hotline: 800-527-6900

Emergency Operations Center staffing - official presence in command center to answer the
phone will be a single staff person from Surv/Epi. A representative from Environmental will
be at the West and Chambers Street location through the night.
Each workgroup needs to identify a single person who will be available by phone overnight
OEM will contact Mark Foggin for all issues during the night shift 8pm to Sam
Meetings on Saturday and Sunday are at 12 noon and 6 PM.
Persons on call on Saturday night should obtain a sign out from the committee member from
the day shift.
Ron Bergmann will be the nighttime OEM contact for Saturday night.
The "zone" refers to the disaster zone, now bordered by Canal to the N and Center to the E
Security may be increased in the zone today

I. Environmental Workgroup
Health and Safety Plan for worker safety at site
Being prepared by DEC and Bechtel Corp. for safety monitoring on ongoing basis
Should also include hand washing facilities
Phosgene will be monitored on an irregular basis by EPA

Air quality
Incident command post at West and Chambers
Fact sheet for public concerning air quality and respiratory concerns being prepared
1000 respirators were received at the zone and distributed to the NYFD by the army
small respirators are on their way
Fit testing being coordinated by COSH and PESH, plus pared down physical exam
Resistance to respirators is widespread among rescue workers
Volunteer physician doing physical exam screening
Organic filters will be needed soon to deal with stench from decomposing bodies
Air sampling results today all within clearance levels
Community and ambient air sampling for asbestos - see attachment
Database for environmental results will be prepared
Plan for air monitoring for 70 structures within a 5 block radius of the WTC.
More phosgene testing will be done when the workers get closer to the area of the
freon storage.
 Radiation
DOE results of radiation exposure were not done yesterday
Plan is to do radiation monitoring at "ground zero" starting tomorrow
No positive readings so far
Flyover was not done because FAA will not allow flights below 2000 ft.
Unclear if Uranium 235 is located at site or not, likely vaporized
There were 2 places in WTC that were licensed by Dept of Labor for radiation use
National Guard will be monitoring debris for radiation as it goes to Freshkills
FBI monitors debris first. No reports of abnormal readings today.

Water
6 sites being tested by Jim Luke/DOH, results pending to be ready Saturday AM.
All rooftop tanks need to be drained and tested before re-filling and use

Evacuation of restricted area for Environmental Health Reasons

Not discussed today

Food and Restaurant Inspection

8 food distribution sites in the zone, need to continue constant presence
Chambers and West St. - packaged food
Variability of food is wide
Chelsea Pier food distribution, Javits Convention Center also food sites
All restaurants between Canal and 14th St. will be inspected starting today an on
Trade Waste Commission (commercial waste) would like to do joint inspections
Suggest allowing the military to provide food services, will suggest to OEM tonight.

Donated Food Inspection

Prepared food that is being donated is also being inspected
Inexperience of food handlers is unknown
Some inappropriate impromptu food distribution

Rodent control
Garbage collection in lower Manhattan may be compromised
How to control rodents in zone is an issue, plan to be developed
Rodenticides will be placed in areas between Canal and 14th St.
No issues at this time, James Gibson is at site to make assessment
OEM has concerns about pest control in the ground zero area at this time.

Sanitation
We have been told that sanitation above Canal St. and 14th will begin soon

DEP doing freon monitoring

II. Med/Clinical Workgroup
Blood borne pathogen information sheet prepared
Fact sheet on body parts from Oklahoma City bombing is being prepared
No risk of disease from decomposing bodies
Touch base with someone from OCME about chain of command concerning
collecting body parts
Mental health activities needed for rescue workers

III. Epi/Surveillance Workgroup

Three surveillance studies are in place
A. Hospital needs assessment - coordinated with GNYHA (A Karpati)
Letters were faxed last night to 70 hospitals (passive reporting)
Active calls to be made to 13 hospitals every 12 hours,
7 given data, good cooperation
Report format being prepared
2 hospitals needed supplies, GNYHA took care of needs
Will stop this next week if needs no longer large

B. ER Acute injury/trauma surveillance (S Wilt)

Targeting 4-7 major hospitals in lower Manhattan
Teams had difficulty getting into several hospitals, BI and St Vincent's was easier
Also going to Downtown Hospital and Bellevue
Will not expand to other hospitals
May need to coordinate with New Jersey.Hospitals, some casualties went there
Anticipate a preliminary data report on September 16 in the afternoon.
C. Syndromic prospective surveillance (D Weiss)
In place in 16 hospitals in all boroughs
Some refusals, other sights will be chosen
34 EIS officers from CDC expected at 1 pm, 12 hour shifts each
(coordinated by T Treadwell and S Baiter)
Analysis by cluster, time, syndrome, hopefully in as real time as possible
D. First responders surveillance (A Goodman)
DMAT team has set up two triage sites
Site at zone has only seen 19 patients
Any serious patients will bypass this triage and go straight to hospitals
Will try and get more information on first responders who get sent to hospital via the
syndromic surveillance activities.

Secure website for information about antibiotic stockpiles? - No

Broadcast fax to hospitals was not released today.
Emails/calls from ID doctors about anthrax protocols, antibiotic stockpiling, etc.
Will not put this information on website, esp not for public
Instructions to hospitals are to not stockpile
 Regular, ongoing surveillance activities
W Nile specimens to lab
One meningitis case, and one rabid cat to be tested tonight

IV. Sheltering Workgroup

Staffing at 11 shelters though 9 pm Sunday night, for census see attachment
Only 3 shelters with double digit numbers
Some shelters being used as respite sites
Some shelters have no people in them, although last night we had 70 people
One resident needs transport to nursing facility - performed this morning
Not clear if they will be open for entire weekend

VI. Laboratory Workgroup

Lab able to process all regular specimens
People on standby for biological/chemical testing

VII. Operations/Facilities
Access issues to 40 Worth St (private), 253 Broadway (city), 346 Broadway
125 Worth St. may be occupiable by 9/17
2 Lafayette will be made a priority next
5 pm buildings meeting - assessment of all buildings below Canal St.

125 Worth St. priorities will be 1st floor (vital records), 3rd floor (commissioner/DI,
6th floor (data lines), 10th floor

VIII. MIS
No acute issues

OTHER ISSUES
VIII. Public Relations
List of all command center participants handed out
List of all emergency numbers also compiled

IX. Personnel/Staffing
DI Program directors meeting on Monday 9/17
Programs need to start thinking today about how to operationalize program,
concerning staffing, space, data, etc, and be prepared to implement their plan by
Monday, September 19th
Paychecks are being distributed today at Ft Greene Health Center
All per diem workers need to turn in a paycheck
800 number should be operational

Dr. Pat Meehan from NCEH/CDC arrived

Dan Hewitt and Ron Berger have been here for 2 days
34 EIS officers arrived at 2pm, will be doing syndromic surveillance work

Prepared by THH
 NEW YORK CITY DEPARTMENT OF HEALTH
EMPLOYEE REPORTING LOCATIONS

(Employees should report to designated contact person; in the absence of a designated person,
employees should report to building security desk. All reporting employees should sign
attendance sheet)

REPORTING LOCATIONS

BROOKLYN

BEDFORD HEALTH CENTER

485 Throop Avenue
Brooklyn, New York 11221
Contact: Vivian Toan

WILLIAMSBURG HEALTH CENTER

151 Maujer Street
Brooklyn, New York 11206
Contact: Ten Galvin

BROWNSVILLE HEALTH CENTER

259 Bristol Street
Brooklyn, New York 11212
Contact: Ricardo Baker

HOMECREST HEALTH CENTER

1601 Avenue S
Brooklyn, New York 11229
Contact: Wendy Negron

FORT GREENE HEALTH CENTER

295 Flatbush Avenue Extension
Brooklyn, New York 11201
Contact: Sheila Benjamin

CROWN HEIGHTS HEALTH CENTER

1218 Prospect Place
Brooklyn, New York 11213
Contact: Security Desk

Page 1 of 3
 BUSHWICK HEALTH CENTER
335 Central Avenue
Brooklyn, New York 11221
Contact: Security Desk

MANHATTAN

RIVERSIDE HEALTH CENTER

160 West 100th Street
New York, New York 10025
Contact: JUlcn DiTTClOnarL

UPPER MANHATTAN (WASHINGTON HEIGHTS) HEALTH CENTER

600 West 168th Street
New York, New York 10032
Contact: Jeffrey Herrera

CENTRAL HARLEM HEALTH CENTER

2238 Fifth Avenue
New York, New York 10035
Contact: John Rail

LOWER MANHATTAN (CHELSEA) HEALTH CENTER

303 Ninth Avenue
New York, New York 10001
Contact: Security Desk

EAST HARLEM HEALTH CENTER

158 East 115th Street
New York, New York 10029
Contact: Security Desk

MANHATTANVILLE HEALTH CENTER

21 Old Broadway
New York, New York 10027
Contact: Security Desk

BRONX

MORRISANIA HEALTH CENTER

1309 Fulton Avenue
Bronx, New York 10458
Contact: Cathleen Santiago

Page 2 of 3
 TREMONT HEALTH CENTER
1826 Arthur Avenue
n //
li^siliP
Bronx, New York 1 0457

BERGEN BUILDING HEALTH CENTER

1932 Arthur Avenue
Bronx, New York 10457
Contact: Security Desk

QUEENS

ASTORIA HEALTH CENTER

12-26 31st Avenue
Astoria, New York 11106
Contact: Rick Simeone

KEW GARDENS (QUEENS BOULEVARD) HEALTH CENTER

120-34 Queens Boulevard
Kew Gardens, New York 11424
Contact: Kim Keller

JAMAICA HEALTH CENTER

90-37 Parson Boulevard, Room 1
Jamaica, New York 11432
Contact: Marilyn Kelly

CORONA HEALTH CENTER

34-33 Junction Boulevard
Jackson Heights, New York 11372
Contact: Security Desk

STATEN ISLAND

RICHMOND HEALTH CENTER

51 Stuyvesant Place
Staten Island, New York 10301
Contact: Security Desk

Page 3 of 3
Current Issues
9/14/01 12:00pm
DRAFT

TOPIC OUTSTANDING COCERNS RESPONSIBLE

PARTY

Radiation and 1) Department of Energy flyovers to measure radiation Gene Mishkin

Monitoring levels- NEED RESULTS OF THIS
2) Army has radiation monitors on the trucks taking
garbage to Freshkill- NEED TO GET RESULTS

Pest Control 1) Garbage collection in lower Manhattan and concern James Gibson
for rats running wild
2) DOS collecting garbage or not??

Food 1) Food distribution at ground zero- need to continue a Elliott Marcus

constant presence there to monitor this
2) Trade Waste Commission- evaluating all buildings
at ground zero w/4 teams- requesting DOH PHS to
accompany for evaluation of food and sanitary
concerns

Restaurant 1) If 4 PHS' accompany Trade Waste Commission- is Elliott Marcus

Inspections it possible to merge this activity w/their request?
2) All other restaurants- need to go to 40 Worth St. to
collect information and set up new operation- 4.5 days
worth of inspections south of 14 Street
Water 1) Sampling south of ground zero to test for quality Jim Luke
concerns- did we get tests? how many?
2) Noth of ground zero, sampling results were fine

Air 1) Army is providing medical personnel to do fit- Jessica Leighton

testing of masks/respirators on workers Kelly McKinney
2) DOH has 15,000 masks being inventoried- need Jim
and DC AS to do some instructing
3) Need to do monitoring of fit-testing and other
occupational health concerns
4) Fact sheet regarding general hygienic concerns
ie) handwashing and bathrooms for MD's
5) Fact Sheet for general public re: air quality and
respiratory concerns
6) school construction authority and overnight air
pump testing

Medical/Clinical 1) blood-borne pathogens Katherine Kaye

2) Fact sheet from Oklahoma City on body parts

Shelters 1) ARC meeting to determine role of shelters Cg^^v^u fywffl^-

2) wheelchair bound person needs transportation to
facility ^t+fa AO^I
Surveillance 1) Hospital- data coming in thru fax? Going into
computer? Generate reports?
2) Syndromic- (BT, asthma, water) Are we at all
hospitals? Is quality of reporting getting better?
3) Casualty- Going back to do retro surveillance b/c
felt not good enough- done St. Vincents/Bellvue, what
about other 5?, are we entering data?
4) New Jersey hospitals?

MIS Nn a^-iite emergency \$s\]$s($jB$!S!333%(^4bA&^ Ed Carubis

o A.Vf Gt*,r0 *\i t ftoAkoi
Operations/Facilities 1) Access issues- Stu Mirsky
a. 40 Worth St.- landlord building Kelly McKinney
b. 253 Broadway- City building
c. 125 Worth- Vital Records- school construction
authority doing acheck thru to see if structurally
stable
2) 5pm- buildings meeting- general assessment of all
buildings below Canal

Staff Concerns 1) 1-800-527-6900 number re: reporting on Monday Beth Maldin

and paychecks

DOH Complaints Relocated to Bureau of Labs Mark Foggin

Line
 Current Issues
9/14/01 4:00pm
DRAFT

TOPIC OUTSTANDING COCERNS RESPONSIBLE

PARTY
Radiation and 1) Department of Energy flyovers to measure radiation levels- Gene Mishkin
Monitoring NEED RESULTS OF THIS
2) National Guard has radiation monitors on the trucks taking
garbage to Freshkill- NEED TO GET RESULTS
Pest Control 1) Garbage collection in lower Manhattan and concern for James Gibson
rodents running wild Allan Goldberg
2) DOS collecting garbage
3) Proposal for recommendations on how to control rodent
population without jeopardizing health of workers
4) Assessment of perimeter
Food 1) Food distribution at ground zero- 8 supervisors at 8 locations Elliott Marcus
24/7 to continue a presence for monitoring
2) Trade Waste Commission- evaluating all buildings at ground
zero w/4 teams- requesting DOH PHS to accompany for
evaluation of food and sanitary concerns
3) Status of Canal St. north to 14th St. restaurant reopenings
Restaurant 1) If 4 PHS' accompany Trade Waste Commission- is it possible Elliott Marcus
Inspections to merge this activity w/their request?
2) All other restaurants- need to go to 40 Worth St. to collect
information and set up new operation- 4.5 days worth of
inspections south of 14th Street
Water 1) Sampling south of ground zero to test for quality concerns- Jim Luke
did we get tests? how many?—waiting for lab results
2) Noth of ground zero, sampling results were fine

Air 1) PESH and COSH are coordinating fit-testing of respirators Jessica Leighton
2) DOH has 15,000 masks being inventoried- need Jim and Kelly McKinney
DCAS to do some instructing
3) OSHA to do monitoring of fit-testing and other occupational
health concerns
4) Fact Sheet for public re: air quality and respiratory concerns
5) school construction authority and overnight air pump testing
6) EPA/DEP doing phosgene testing
7) Need to recall people who went out without fit-testing
Medical and 1) Blood-borne pathogens Sue Blank
Clinical 2) Connection with Urban Search and Rescue Teams for info.
3) fact sheets from Oklahoma City on body parts
Worker Safety 1) Health and Safety Plan (DEC/Bectel) Jessica Leighton
2) Fact sheet regarding general hygienic concerns- handwashing Kelly McKinney
and bathrooms for first responders
3) Decontamination sites for dust removal
Shelters 1 ) ARC meeting to determine role of shelters Carmen Ramos
2) Pull together shelter utilization levels and outcomes

Surveillance 1) Casualty- Going back to do retro surveillance b/c felt not Marci Layton
good enough- done St. Vincents/Bellvue, what about other 5?, are Polly Thomas
we entering data?
2) Hospital- data coming in thru fax? Going into computer?
Generate reports?
3) Syndromic- (BT, asthma, water, GI illness) Are we at all
hospitals? Is quality of reporting getting better?
4) New Jersey hospitals
5) Disaster Medical Assistance Teams- taking over triage sites to
collect first responder info.

MIS No acute, emergency issues/Only chronic concerns Ed Carubis

Staff and 1 ) Building access issues- Stu Mirsky

Operations a. 40 Worth St.- landlord building Kelly McKinney
b. 253 Broadway- City building/DCAS/OEM Rich Naeder
c. 125 Worth, 2 Lafayette, 346 Broadway- Vital Records-
school construction authority will do a check thru for
structural stability, fire alarms, phones, and dust
2) 5pm- buildings meeting- general assessment of all buildings
below Canal
3) Status on paycheck distribution
4) Health Center supervisory coverage
5) Bureau/program roll call chart
6) 800-527-6900-DOH staff number (need to track call volume)

DOH Relocated to Bureau of Labs Mark Foggin

Complaints (212)213-1844
Line
 ] '-

•)

Av^nA
(J )
A: The New York City Department of Health employees have been staffing shelters, advising
rescue personnel about precautions and protective measures to be taken at the recovery site,
assessing environmental risks south of 14lh Street, visiting hospitals around the area to assess
injuries arriving at local emergency rooms, as well as participating in other activities to aid in the
rescue and recovery effort.

SERVICES
Q: Where can I go to get grief counseling?
A: Mental Health Services
English LifeNET 212995 5824
Spanish LifeNET 2125337007
Chinese LifeNET 2122542731
St. Vincent's Hospital 2126048220
Bellevue Hospital 2125624877/3120
Westchester 914925 5320
Staten Island 7183546300
Red Cross 1 800 367 8788

Q: Where can I donate money, blood or volunteer?

A: Volunteers/Blood Donation/Monetary Donations
American Red Cross 1 800 GIVE LIFE
2128752067/8/9
I 800 801 8092
Red Cross Relief (Monetary Donations) 1 800 HELP NOW (800 257 7575 Spanish)
Doctors/Medical 5184317600
2126043850
NYC Blood Center 212 893 BLOOD; 800 933 BLOOD
Salvation Army 212 SAL ARMY

Q: Where can I find out about missing persons?

A: Patient/Missing Persons Information
NYPD Missing Persons Information 447 .2998/9; 447 8207/10
492 l sl Ave (Walk-ins are welcome)
Patients being Treated 21 2 560 2730 (in NYC)
Missing Persons Information 1 800 222 6459 (outside NYC)
1 800331 0075
Port Authority Workers Missing Persons Info. 1 973 565 5505
NYPD Families (ONLY) 718677-8238
FDNY Families (ONLY) 7189992541
American Airlines 1 800 245 0999
United Airlines 1 800 932 8555

Q: Where can I find out about the latest transit updates?

A: Transportation/Transit
DOT 2 12/7 18 CALL DOT
MTA (City) 7183303000
MTA (State) 2128787000
Transit Bureau (NYPD) 7182433441
FAA 202 267 3484
Port Authority 1 800221 9903
 Shelter Client Usage

Shelter 9/11-12 9/12 9/12-13 9/13 9/13-14 9/14 9/14-15 9/15 9/15-16
9P-9A 9A-9P 9P-9A 9A-9P 9P-9A 9A-9P 9P-9A 9A-9P 9P-9A
# clients # clients # clients # clients # clients # clients # clients # clients # clients
Seward Park 3 11 6 9 3
HS
Washington 2 75 20 36 38
Irving HS
Fashion 5 4 20 31 21
Industry HS (+8 tourists)
Chelsea HS 3 9 1 1 0 + used for
emergency
workers
respite
Norman 7 20
Thomas HS
City School HS 3-5 6 7 6 8 2 + used for
construction
crew respite
JHS22 0 2 4 3

IS 131 10 8 6 10 10

Comprehensive 0 0 0 0
Day&Night HS
Bayard Rustin 6 Closed Closed Closed Closed Closed Closed
HS

Curtis HS, SI ~+ 100 kids 2 0 0 Closed

Westinghouse 2 0 0
HS, BK
 The New York City Department of Health
WORLD TRADE CENTER DISASTER
DOH staff should call 1-800-527-6900

REPORTING TO WORK
Q: Where should I report to work?
A: If your normal work location is outside of Manhattan but above 14" Street, please report to
your normal work location.

Q: What if I work below 141'1 Street, where should I go?

A: If you work below 14th Street, you should report to the nearest health center, unless your
supervisor has told you otherwise. If you are a Public Health Sanitarian in Environmental
Health you should report to the Public Health Laboratories at 455 First Avenue, between 26th and
27"' Streets, in the Auditorium on Friday morning.

Q: Where should I call for more information related to work assignments and instructions?
A: DOH staff should call 1-800-527-6900 for more information.

PAYCHECK ISSUES
Q: If I work south of 14th Street, where can I pick up my paycheck?
A: Staff below 14lh Street can pick up their checks at Flatbush Extension, located at 295 Flatbush
Avenue in Brooklyn between 9:00 AM and 4:00 PM in the basement. If you have questions
about your paycheck, please call 718-643-3048. ^

Q: If my worksite has not been affected, where can I pick up my paycheck?

A: You will receive your paycheck at your usual locations on Friday.

Q: Where should program payroll representatives pick up the bundled paychecks?

A: Program representatives from non-affected-areas can pick up bundled paychecks at 295
Flatbush Avenue in Brooklyn, beginning at 9AM on Friday.

Q: Where can Tribunal Hearing Examiners receive their paychecks?

A: Tribunal Hearing Examiners who work below 14th Street can pick up their checks at Flatbush
Extension, in the basement. If you have questions about your paycheck, please call 718-643-
3048.

Q: Is direct deposit working?

A: Direct deposit is expected to work normally.

Q: Will I get paid for these days if we are not able to report to work?
A: The City is still working out these issues.

Q: Where do I submit my timecard for this week?

A: Submit your timecard to the same location from which you pick up your paycheck.

DOH ACTIVITIES
Q: Where is the NYC DOH central office now located? '<*
A: The headquarters for the NYC DOH has been temporarily relocated to the Department's
Bureau of Laboratories at 455 First Avenue. The Department continues to operate clinics and
health centers in areas above 14lh Street and in other boroughs. The Department is continuing
most of its public health operations and is working closely with City, State and Federal agencies
in coordinating emergency response to the World Trade Center Disaster.

Q: What is the Department of Health doing in this emergency to help with the rescue and
recovery effort?
09/14/01 FRI 14:42 FAX 518 485 8449 ENV. CON. POLICE i!003
SEP-14-2001 14=37 U5EPR-RE5P. & PREU. BR. 732 321 4425 P.03/03
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 Patient Imprint Card or Label If imprint card is unavailable:

Last Name:

First Name:

Med Rec #:

D Female D Male

NEW YORK CITY DEPARTMENT OF HEALTH

ENHANCED EMERGENCY ROOM SURVEILLANCE
Instructions: FOR EACH PATIENT SEEN AT THE EMERGENCY DEPARTMENT
1. Stamp form at top left with patient imprint card
2. Triage/registration and health care provider fill out respective sections
3. Place in drop box Hospital Code
Triage/Registration Complete This Section

Date of visit: [
Age: I For age less than one year please use "1"

Home Zip Code: [^ 1 Work Zip Code: j _ i

Was patient in southern Manhattan (below Canal St) on Tuesday, September llth
after the attack? (circle one) YES NO Don't Know

Health Care Provider Complete This Section

Please check the ONE PREDOMINANT syndrome from the following list that best
represents the PRIMARY condition of the patient
D iNone of the following
D Trauma
D iSmoke or dust inhalation
D [Exacerbation of underlying respiratory condition (Asthma/ COPD)
D Anxiety reaction (including somatic complaints, insomnia)
D ^Diarrhea / gastroenteritis (including vomiting or abdominal cramps)
I Upper or lower respiratory infection WITH fever
D Sepsis or non-traumatic shock
D iRash WITH fever (do NOT check unless both are present)
I Meningitis, encephalitis, or unexplained acute encephalopathy
I iBotulism-like syndrome (cranial nerve impairment and weakness)
D Unexplained death with a history of fever

IF YOU HAVE ANY QUESTIONS OR NEED TO REACH THE NYC DEPARTMENT OF HEALTH, PLEASE CALL
212-447-2676 AND ASK FOR THE DOCTOR ON DUTY. IF NO ONE IS AVAILABLE AT THAT NUMBER, CALL
THE POISON CONTROL CENTER AT 212-764-7667.
Sap-14-2001 02:39pm From-DMR-COC +4046397394 T-199 P.002/004 F-8S6

FOR IMMEDIATE RELEASE Contact: HHS Press Office

Fn4ay, Sept, J4> 2001 (202) 690-6343

HHS SENfiS 35 MEMBERS OF CENTERS FOR DISEASE CONTROL ANP PREVENTION

EIS TEAM TO NYC

HHS Secretary Tommy G. Thompson announced today that as a result of his meetings in New
York with Governor George Pataki and Mayor Rudy Giuliani, the Centers for Disease Control and
Prevention (CPC) was sending 35 members of its Epidemic Intelligence Service (EIS) to assist the New
York City Health Department in the ongoing monitoring of public health matters.

The cjty is rightfully maintaining a close watch on public health conditions as The recovery effort
continues. The CDC experts will provide additional workforce and expertise to state and local officials
in this endeavpr.

"Governor Pataki and Mayor Giuliani are rightfully making the public health and safety of New
York residents the Utmost priority, and this means vjgilani monitoring of health conditions as the
recovery effon continues," Secretary Thompson said. "The CDC workers will supplement local efforts
in this regard 4nd provide expertise in matters relating to public health. We're responding as rapidly as
possible to any needs for resources the city and state need."

The EIS officers will be assigned lo hospitals to assist New York health officials and physicians
monitor diseases, conduct a medical and health needs assessment; idenrify existing health problems,
such as dust o? allergic reactions; and determine if there are new medical needs and if already deployed
resources are better used elsewhere. The team will assist New York City hospitals 24 hours a day as
directed by staje and local health officials.

"During a disaster such as this, the normal public health challenges of a major city are still there
and must be addressed. The CDC is offering its suppon to fill in wherever New York City public health
officials believe they can be of most help,4' Secretary Thompson said. "After meeting with the Mayor
and Governor and touring the disaster sites, it is clear the remarkable job these two leaders are doing.
And the eridurmg efforts of law enforcement, firefighters, emergency workers and volunteers speaks
tremendously to the resilient spirit of America.*'